Plausible conditions and mechanisms for increasing physical activity behavior in men with prostate cancer using patient education interventions: sequential explanatory mixed studies synthesis.
Purpose: This mixed studies synthesis sought to evaluate structured patient education interventions (PEIs) to elucidate relevant conditions and mechanisms for increasing physical activity behavior in men with prostate cancer (PCa).Methods: Studies that randomized men diagnosed with PCa, assessed PEI...
| Publicado en: | Supportive Care in Cancer Vol. 30; no. 6; pp. 4617 - 4634 |
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| Autores principales: | , , , , , |
| Formato: | review Journal Article |
| Publicado: |
Springer Nature
Jun2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156548620&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156548620 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Jun2022 vid: 30 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156548620 156548620 NLM35064329 156548620 10.1007/s00520-021-06693-w NLM35064329 156548620 ppf: 4617 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Plausible conditions and mechanisms for increasing physical activity behavior in men with prostate cancer using patient education interventions: sequential explanatory mixed studies synthesis. aug: au: Ezenwankwo, Elochukwu Fortune Motsoeneng, Portia Atterbury, Elizabeth Maria Albertus, Yumna Lambert, Estelle Victoria Shamley, Delva affil: Centre for Health through Physical Activity, Lifestyle and Sport, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, 7700, Cape Town, South Africa sug: subj: Prostatic Neoplasms Quality of Life Fatigue Male Exercise Patient Education Ferrans and Powers Quality of Life Index Exercise of Self-Care Agency Scale Male ab: Purpose: This mixed studies synthesis sought to evaluate structured patient education interventions (PEIs) to elucidate relevant conditions and mechanisms for increasing physical activity behavior in men with prostate cancer (PCa).Methods: Studies that randomized men diagnosed with PCa, assessed PEIs, and reported (1) between-group changes in the outcome measures of exercise self-efficacy, PA level, or patient-centered outcomes (cancer-related fatigue, aerobic fitness, and quality of life) at baseline and post-intervention, and/or (2) men's perceptions of structured PEIs were synthesized. Results from five RCTs reporting data on 895 men and qualitative reports from four studies were respectively and sequentially analyzed with narrative and thematic syntheses. Findings from both syntheses were further integrated using the context-mechanism-outcome configuration (CMO) to elucidate potential "contextual factors" or "conditions" that may support plausible PEI mechanisms.Results: Structured PEIs were associated with a beneficial increase in task self-efficacy, vigorous-intensity PA, minutes/week of resistance exercise, the proportion of men meeting ≥ 150 minutes/week of moderate-vigorous intensity aerobic exercise, and overall PA. No effects were found on patient-centered outcomes. Drawing upon the CMO configuration, the inclusion of a referral process, access to "credible influence" (e.g., involving former patients as program facilitators), and adopting hybrid service delivery are likely critical conditions that may explain the success of PEIs in men with PCa.Conclusion: PEIs can increase PA behavior in men with PCa. The likelihood of success is higher for multicomponent interventions that prioritized credible influence and exercise referral as critical components besides offering access to interventions within hospital settings, with home-based sessions in addition. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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